Organization
GILS LEGACY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIKA MCCLOUD (OWNER / ADMINISTRATOR)
(215) 390-6385
Entity
Organization
Contact information
Practice address
7600 STENTON AVE APT 17J, PHILADELPHIA, PA 19118-3256
(215) 390-6385
Mailing address
7600 STENTON AVE APT 17J, PHILADELPHIA, PA 19118-3256
(215) 390-6385
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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